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~ III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: William & Beverly Caldwell and Albert <br />PERMIT NO.: M-97-071 <br />OPERATION NAME: Caldwell-Nesselhuf Pit No. 1 <br />ANNIVERSARY DATE: June 30, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Crowley <br />& Lola"'~fg~selh64f ~t,4 <br />.. ~b <br />1'alll <br />According to C.R.S. 34-32=1 16U(a), each year, on the anniversary date of the permit, an <br />operator shall submit the annual fee, a report and map showing the extent of current disturbances <br />to affected land, reclamation accomplished to date and during the preceding year, new <br />disturbances that are anticipated to occur during the upcoming year, reclamation that will he <br />performed during the coming year, the dates for the beginning of active operations, and the date <br />active operations ceased for the year, if any. <br />Please attach your revised annual report map and written report to this <br />annual report. Please note thn! an adequately labeled mnp that clearly delineates and <br />Includes the above elements may sr<ffice for n written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the <br />space provided: <br />Contact Name: ,(~ d tU~ Company:. <br />Address: Phone No.: <br />Fax No.: ( 1_ <br />If there are additional comments and/or information that should be provided to the Division, <br />please provide it on a separate sheet and attach it to this report form along with your map and/or <br />written report. <br />__1~~ <br />Signature of Corp rate Officer, o Owner ate <br />INSTRUCTIONS ON BACK <br />